Individual
LISA JO ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
18 HAGGERTY LANE, SUITE 103, STAUNTON, VA 24401
(540) 414-8585
(540) 414-8597
Mailing address
18 HAGGERTY LANE, SUITE 103, STAUNTON, VA 24401
(540) 414-8585
(540) 414-8597
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024158784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010089832
—
VA
Enumeration date
11/02/2005
Last updated
10/08/2014
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